You have not included the most important number, the Gleason score they came up with After his biopsy. That is critical information when you decide how to stop hormone therapy. If his Gleason score is higher than a seven, then he should be on ADT for at least 18 months.
Hormone therapy is ADT so I’m puzzled as to why you say 3 1/2 months of ADT but four months of hormone therapy since they are Usually the same, Unless you are referring to him being on Zytiga, Which acts like hormone therapy.
Orgovyx and Eligard both do exactly the same thing, Lower testosterone. I’ve been on both for many years and there was no side effect difference when I switched to Orgovyx (I switched to save $1600). The low muscle and bone density problems are from low testosterone not the specific drug. You need to do the weight training and keep steady exercising like walking every day as well. I walk on the track twice a day about a mile each time and I go to the gym about three times a week for weight training. I’ve been on ADT for almost 9 years. If you stay on ADT, you should also get bone strengtheners Like Fosamax, Zometa or Xgeva. A bone doctor at a recent convention, said that It was essential to use bone strengtheners while on ADT.
It can take years for some people’s PSA To reach bottom after radiation. Staying on ADT can help getting it down quicker.
I hadn't heard of the bone medication. I will look it up and speak to the doctor about it.